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Home My WebLink AboutBLD21400 Final SFR - BLD Permit / Conditions - 7/26/1988 Shorelines: &,, Plumbing: ply/g4Vi- y� Setback: Mechanical : Special Interior: Conditions: FINAL:O,�q g Mobile Home: Smoke Detector: ooting: J Remarks: Setback: 3 5 Foundation ' Wal 1 s: rle Framing:, y y � Fireplace: Wood Stove: TYPE RESIDENCE Permit No. 21400 No. Floors 1 Sq Ftg 960 Owner RAUH, Jay T Tel 27_ 5-4477Date 1-13-88 Address P 0 Box 767 Belfair Zip Contractor Bob Soltis Address Legal De 71pBeazds cove Div 4 Lot 36 Direction to projec-r NE a i Pea Lea 7,ou t Plumbing x c anica ewer oo tove Fireplace Deck Garage Carport Basement —1 oft zoopther 3 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. l OWNER NAME MAILA RESS CITY E ZIP PHONE Al' i� W �71=S/ -7 DIRECTIONS v /} TO JOB SITE LEGAL j C DESCR. CONTRACTOR AME ILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK W'`� �� YY/' ai►� �U u 9 BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FTOW GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS FIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTR ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIR ENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI NG APPROVAL FROM THE BUILDING DEPARTMENT. e. APPROVAL FROM THE BUILDING DEPARTMENT. NE DATE / X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO GC, HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT n 1l, D.O.T. BUILDING PLAN CHECKyk SPECIAL CONDITIONS BUILDINGGROUP —3 PRE-INSPECTION a, SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS C ECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION ' t, I ^ BY CASH CK MO ��,� ' � ' TOTAL PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NAME MAILADDRESS CIT ESTATE ZIP PHONE OWNER ,�� ' ' � ��- � DIRECTIONS TO JOB SITE LEGAL DESCR. CONTRACTOR NAME MAIL ADD SS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS C p FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS s C BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS �, C REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER ?�� AIR HANDLING UNITS 7.50 SINKS n HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE PERMIT BASIC FEE 10.00 TOTAL �3L.00 TOTAL SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FI ST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X OWN DA :!� �7j 1 X BY DATE 01 FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION IBY CASH CK MO PLOT PLAN ADDRESS t" .` PERMIT NO. o 0 = o /1 LEGAL DESCRIPTION BLK ADDITION u SITE AREA�lJ�) if) Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS y Sq. Ft. INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION ARID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' 4 I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. 14 NAME(S) OF OWNER(S) OF SITE a STRUCTUREl51 (PRINT) �''I//"" ATUR F WN l5 R AU THO IZE RESEN TA TIVE �� DO NOT WRITE BELQJv THIS LINE APPROVED DISTRICT AS NOTED DATE 6HELTON PRINTING